| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.52 | $124.72 | $221.28 | |
Aetna
| Professional | $69.73 | $72.52 | $99.67 | |
Anthem BCBS
| Facility | $87.16 | $123.71 | $254.54 | |
Anthem BCBS
| Professional | $69.73 | $69.73 | $69.73 | |
Cigna
| Facility | $69.73 | $69.73 | $69.73 | |
Cigna
| Professional | $69.73 | $69.73 | $95.63 | |
ConnectiCare
| Facility | $124.53 | $124.53 | $124.53 | |
ConnectiCare
| Professional | $60.52 | $75.65 | $87.43 | |
United
| Professional | $27.89 | $69.73 | $151.27 |